Sweet, Lydecke B

Sweet, Lydecke B is an individual health care provider with primary practice located at 73 High St Charlestown Healthcare Center, Charlestown MA 02129-3026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sweet, Lydecke B can be contacted via phone (617) 724-8135.

Contact Information

Primary practice address
73 High St Charlestown Healthcare Center Charlestown MA 02129-3026
Phone: (617) 724-8135
Fax: (617) 724-8010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 212913 Massachusetts

Profile Details

NPI number 1639160146
LBN Legal business name Sweet, Lydecke B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639160146 NPPES
Massachusetts MEDICAID 0183857
Massachusetts Other 212913
Massachusetts Other J24920

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